4,666 results match your criteria: "Imaging Developmental Dysplasia of the Hip"

Background: Developmental dysplasia of the hip is a common musculoskeletal disorder in newborns and young children, attracting considerable controversy. The purpose of the present study was to analyze the research trends and hotspots over the past three decades in this field.

Methods: All related publications were collected from the Web of Science Core Collection from 1994 to 2023.

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Directly anterior approach for total hip arthroplasty with an acetabular structural bone graft for developmental dysplasia of the hip (Crowe III and IV): a concise 5-year follow-up evaluation.

BMC Musculoskelet Disord

December 2024

Department of Orthopaedics, the First Affiliated Hospital of Bengbu Medical University, Osteoarthritis Diagnosis and Treatment Center in Anhui Province, Laboratory of Tissue and Transplant in Anhui Province, Bengbu Medical University, #287 Zhihuai Road, Bengbu City, Anhui Province, China.

Background: This study evaluated the results of total hip arthroplasty (THA) via the direct anterior approach (DAA) in the lateral decubitus position combined with acetabular reconstruction via a bulk autograft for patients with developmental dysplasia of the hip (Crowe III and IV).

Patients And Methods: A retrospective study was conducted to analyse 16 patients (16 hips) with Crowe type III and IV developmental dysplasia of the hip (DDH) who underwent THA from June 2016 to July 2021. We recorded and analysed variables such as age, sex, height, body mass index (BMI), length of surgical incision, duration of surgery, intraoperative blood loss, Harris hip score, visual analogue scale (VAS) score, lower limb length, and pelvic radiograph analysis.

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Background: Developmental dysplasia of the hip (DDH) can cause pain and premature osteoarthritis. The risk factors and timing for disease progression in adolescents and young adults have not been fully defined. This study aimed to determine the prevalence of and risk factors for contralateral hip pain and surgery after periacetabular osteotomy (PAO) on a dysplastic hip.

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Introduction: This study evaluates the necessity of routine X-ray follow-ups in children with developmental dysplasia of the hip (DDH), identified through Graf hip ultrasound, a standard component of screening in Germany. The purpose of this study was to investigate the occurrence of radiological deterioration in hips that were initially diagnosed and treated according to established guidelines within a university-based risk-enriched cohort and to identify associated risk factors.

Materials And Methods: Patients diagnosed with developmental DDH from 2009 to 2018 with sonographically healthy hips (alpha > 64°) post conservative therapy and at least one follow-up X-ray by the age of two were analysed.

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Objective: To study the association between various radiographic definitions of acetabular dysplasia (AD) and incident radiographic hip osteoarthritis (RHOA), and to analyze in subgroups.

Methods: Hips free of RHOA at baseline and with follow-up within 4-8 years were drawn from the World COACH consortium. The Wiberg center edge angle (WCEA), acetabular depth width ratio (ADR), and the modified acetabular index (mAI) were calculated.

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Aims: This study aimed to determine clinical outcomes; relationships between postoperative anterior, lateral, and posterior acetabular coverage and joint survival; and prognostic factors for joint survival after transposition osteotomy of the acetabulum (TOA).

Methods: Data from 616 patients (800 hips) with hip dysplasia who underwent TOA between November 1998 and December 2019 were reviewed. The median follow-up period was 8.

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Risk Factors for Developmental Dysplasia of the Hip: A Critical Analysis About an Unclear Relationship.

J Clin Med

November 2024

BIOMORF Department of Biomedical, Dental, Morphological and Functional Images, University of Messina, A.O.U Policlinico "G. Martino", Via Consolare Valeria 1, 98124 Messina, Italy.

Article Synopsis
  • The study aimed to investigate how various prenatal risk factors influence developmental dysplasia of the hip (DDH) in newborns, specifically looking at the Graf grading system.
  • Data was analyzed from 112 newborns diagnosed with DDH, focusing on specific risk factors like breech presentation, firstborn status, and other orthopedic conditions, using logistic regression to evaluate their impact.
  • Results indicated that some factors, such as lower limb malformations, may protect against unstable DDH, while others, particularly for females, increased the risk of developing unstable forms of the condition.
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Universal ultrasound screening and early treatment of developmental dysplasia of the hip: a critical review.

J Med Life

August 2024

Department of Orthopedic Surgery, Hail Health Cluster, Hail, Saudi Arabia.

Developmental dysplasia of the hip (DDH) is the most common musculoskeletal disease in infants, and delayed diagnosis can worsen the prognosis. Clinical evidence increasingly supports universal ultrasound (US) screening over selective US screening. The Graf method remains the most widely accepted US technique.

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Article Synopsis
  • This study evaluates how well an artificial intelligence (AI) model can measure angles in pelvic radiographs for diagnosing developmental dysplasia of the hip compared to traditional methods.
  • The research involved 1,029 patients, with their pelvic radiographs split into different sets for training, validating, and testing the AI model's performance.
  • Results indicated that the AI model's measurements were consistent with those of experienced radiologists and were completed more quickly, showcasing the model's effectiveness and accuracy in diagnosing hip conditions.
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Artificial Intelligence Applications in MR Imaging of the Hip.

Magn Reson Imaging Clin N Am

February 2025

Albert Einstein College of Medicine, Bronx, NY, USA; Department of Radiology, Montefiore Medical Center, Bronx, NY, USA. Electronic address:

Artificial intelligence (AI) can provide significant utility in the management of hip disorders by analyzing MR images. AI can automate image segmentation with success. Current models have been successfully tested in the diagnosis of osteoarthritis, femoroacetabular impingement, labral tears, developmental dysplasia of the hip, infection, osteonecrosis of the femoral head, and bone tumors.

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Persistence of Labral Tears and Resolution of Paralabral Cysts With 2-Year Magnetic Resonance Imaging Analysis After Periacetabular Osteotomy for Hip Dysplasia.

Arthroscopy

November 2024

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China; Beijing Key Laboratory of Sports Injuries, Beijing, China; Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China. Electronic address:

Article Synopsis
  • The study evaluated the status of the labrum and the presence of paralabral cysts in patients with developmental dysplasia of the hip (DDH) undergoing periacetabular osteotomy (PAO) before and after surgery using MRI.
  • A total of 23 patients were analyzed, with findings showing that all had labral tears, and 41.6% had paralabral cysts, which correlated significantly with several preoperative factors and decreased postoperatively.
  • Patient-reported outcomes indicated substantial improvements after surgery, with high probabilities of meeting the minimal clinically important difference across various assessment scales.
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Clinical Outcomes of the Arthroscopic Capsular Suture-Lifting Technique in the Treatment of Femoroacetabular Impingement in Patients With Borderline Developmental Dysplasia of the Hip.

Orthop J Sports Med

October 2024

Department of Sports Medicine, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Peking University Third Hospital, Beijing, China.

Background: Patients with femoroacetabular impingement (FAI) are likely to present with borderline developmental dysplasia of the hip (BDDH). Considering the prolonged risk of negative prognosis in these patients, the need for surgical management of the capsule has been emphasized. Although previous studies have advocated different techniques of capsular closure during surgery, no consensus has been achieved.

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Comparison of treatment methods in patients with developmental dysplasia of the hip.

Turk J Med Sci

October 2024

Department of Orthopedics and Traumatology, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkiye.

Article Synopsis
  • The study aimed to compare the effectiveness of four surgical techniques—Pemberton osteotomy (PO), Salter innominate osteotomy (SO), open reduction (OR), and closed reduction (CR)—for treating developmental dysplasia of the hip (DDH) in 101 hips across 82 patients from 2017 to 2023.
  • Results indicated that PO provided the best corrections in acetabular angles and had a lower incidence of avascular necrosis (AVN) compared to other methods, although some AVN still occurred across all treated groups.
  • The study concludes that accurate age-related acetabular measurements are crucial for treatment decisions, and early detection allows for effective conservative
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Background/objectives: The prevalence of developmental hip dysplasia is estimated to be 0.1-2 per 1000 infants. Hip imaging by ultrasonography is considered to be the gold standard method for screening and detecting developmental dysplasia of the hip (DDH), as per the Graf categorization.

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Decreased volume of rectus femoris and iliocapsularis in patients with femoroacetabular impingement syndrome after primary hip arthroscopy.

BMC Musculoskelet Disord

October 2024

Department of Sports Medicine, Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.

Article Synopsis
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Three-dimensional assessments of unilateral developmental dysplasia of the hip (DDH) have not been performed yet. Using computed tomography scanning, this study aimed to determine the morphological and rotational abnormalities of the innominate bone in female patients with unilateral DDH. Patients with unilateral and bilateral DDH were compared with healthy patients.

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Arthroscopic Chondral Nail Fixation for Treating Acetabular Cartilage Delamination Results in Improved Pain Relief at Minimum 2-Year Follow-Up in Patients With Femoroacetabular Impingement Syndrome: A Propensity-Matched Study.

Arthroscopy

October 2024

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing, China; Beijing Key Laboratory of Sports Injuries, Beijing, China; Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China. Electronic address:

Article Synopsis
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Introduction: Developmental dysplasia of the hip (DDH) includes a spectrum of clinical and imaging findings at birth or early infancy. The circumstances in which this condition is detected and managed may be heterogeneous in Brazil owing to its large territory and regional socio-economic differences. Mapping DDH perspectives in a country is fundamental for designing guidelines and strategies for public policy.

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Article Synopsis
  • * This study implemented a U-Net-based convolutional neural network (CNN) to automate the process of segmenting hip MRI images in children, enabling efficient measurements of crucial angles like the acetabular index (AI) and the center-edge angle (CEA).
  • * The automated segmentation demonstrated high accuracy compared to manual assessments, achieving impressive segmentation success rates and no significant difference in clinical angle measurements, making it a promising tool for improving DDH evaluations and treatment planning.
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Article Synopsis
  • Many patients undergo periacetabular osteotomy (PAO) for hip issues and returning to work post-surgery is crucial for their livelihoods, yet there's little data on work productivity afterward.
  • The study analyzed 68 hip joints from 48 participants to determine how clinical factors and workload influenced post-PAO work productivity using various assessment tools.
  • Results showed that 98% of participants returned to work, with significant productivity improvement and a connection between preoperative osteoarthritis and workload on post-surgery outcomes.
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Background: Hip-preserving surgery in young patients frequently reveals lesions of the ligamentum teres (LT). Histological and clinical evidence supports that those lesions could be source of intraarticular hip pain. It has been hypothesized that LT degeneration could be linked to the abnormal positioning of the fovea outside the lunate surface during various daily motions.

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Developmental dysplasia of the hip (DDH) is one of the most prevalent skeletal deformities, primarily due to the incompatibility between the acetabulum and femoral head. It includes complete dislocation, partial dislocation, instability with femoral head subluxation, and a range of imaging abnormalities that reflect inadequate acetabular formation. Known risk factors for DDH include positive family history, sex, premature birth, non-cephalic delivery, oligohydramnios, gestational diabetes mellitus, maternal hypertension, associated anomalies, swaddling clothes, intrauterine space restriction, and post-term pregnancy.

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A retrospective study describing the acetabular consequences of Legg- Calve-Perthes disease.

BMC Musculoskelet Disord

September 2024

SERGAS (Servizo Galego de Saude), Santiago University Clinical Hospital, Building C, Travesía da Choupana S/N, Santiago de Compostela, 15706, Spain.

Article Synopsis
  • Legg Calve Perthes disease (LCPD) is a childhood hip disorder caused by reduced blood flow, leading to femoral head deformity if not treated.
  • This study investigated four pelvic radiographic parameters to see if they can predict outcomes in LCPD patients, comparing data from healthy vs. affected hips.
  • Significant differences were found in three parameters, but only the Acetabular Depth-Width Ratio was predictive of disease outcomes, highlighting the need for more extensive research.
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The Role of Contrast-enhanced Ultrasound in the Femoral Head Perfusion Evaluation: A Pilot Study.

Ultrasound Med Biol

December 2024

Department of Ultrasound, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:

Objectives: We explored the value of contrast-enhanced ultrasound (CEUS) in evaluating femoral head (FH) perfusion, guiding interventions and follow-up for infants with developmental dysplasia of the hip (DDH) and septic arthritis of the hip (SAH). The aim was to provide robust evidence for clinical assessment.

Methods: Ten infants, including 7 with DDH and 3 with SAH, were prospectively enrolled, with their bilateral hips alternately scanned during the CEUS exams.

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Article Synopsis
  • - The study analyzed 211 pediatric cases of developmental dysplasia of the hip (DDH) to assess the relationship between ossific nucleus volume and the risk of avascular necrosis (AVN) during open and closed reduction procedures.
  • - Findings indicated that neither the volume of the ossific nucleus nor the initial age of the patients significantly influenced AVN occurrence in both treatment groups.
  • - The research highlighted that higher IHDI grades (3 and 4) were associated with a significantly increased risk of AVN, emphasizing the need for early intervention and careful monitoring in DDH patients.
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